Individual provider Active NPI

Jannie Rodriguez, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1962807958
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9298758 Issued in FL
Practice address
1621 SW 107TH Ave
Miami, FL 33165-7344
Phone
(786) 422-6525
Fax
(786) 621-7815
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9298758 FL Primary

Addresses

Primary practice location

1621 SW 107TH Ave
Miami, FL 33165-7344

Mailing address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010
Phone (786) 322-7333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jannie.rodriguez@cmg.eclinicaldirectplus.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813010935 FL Practitioner - Nurse Practitioner 8921907478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Group of Westchester, LLC.Group PAC ID 0244477073, 3 clinicians

Practice addresses (Care Compare)

1621 SW 107TH Ave
Miami, FL 33165-7344
Phone (786) 422-6525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9298758FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Westchester, LLC. CurrentSince Sep 6, 2016 Accepting new patients

Locations

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

Interoperability endpoints

  • Direct secure messaging: jannie.rodriguez@cmg.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1962807958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "786-422-6525",
            "fax_number": "786-621-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JANNIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2021-03-10",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9298758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jannie.rodriguez@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information has changed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1621 SW 107th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331657344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.